Hi Tracey - I've been following your blog for a couple years - THANK YOU! for sharing. When I first saw Black Tar Heroin I realized "they are just like me!" and could relate to so many commonalities . Since then I've become a nurse and have worked in hospitals providing care to marginalized people. That profound shift in my understanding has helped form the foundation of my nursing practice - "they" are we, are me are us and when I provide care I will be caring, available and see you as a person, not a problem or label. Although it may seem expected behavior of a nurse - the reality is that it isn't always.